NPIMap

Organization Active NPI

Vision Surgery & Laser Center a Surgical Medical Group Inc

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1811085491
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISION SURGERY & LASER CENTER A SURGICAL MEDICAL GROUP INC
Practice address
8910 University Center LN
Suite 800
San Diego, CA 92122-1031
Phone
(858) 455-6800
Fax
(858) 455-0244
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Gordon, M.D.NPI 1851489355
Title
President
Phone
(858) 455-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

8910 University Center LN
Suite 800
San Diego, CA 92122-1031

Mailing address

8910 University Center LN
Suite 800
San Diego, CA 92122-1031
Phone (858) 455-6800

Other names 1

  • Gordon-Weiss-Schanzlin Vision Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1811085491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221031",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221031",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SURGERY & LASER CENTER A SURGICAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-455-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon-Weiss-Schanzlin Vision Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.